HomeMy WebLinkAboutHomestead_Morris (4)iORM HC 1D 1479
HestriGM By State BwrE af Tax Commiuioners
Ta & FdeC in Wpliwte
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 5 �
��' � SEE BACK FOR FILING INSTRUCTIONS Q(Ct ���3Y�` ��
�(We)� ����,� certify that on the 1st day of
rvtarch, �, I, ( e) occupied as our principal place of residence the tollowing described real property for
which a Homestlead,, ,P,r�operty Tax Credit is hereby being claimed:
I, (We) ❑ owned ' ' `v �` —` `��
❑ are buying under contract
O have a beneficia nterest in the taxpayer ^
Property Description in ��-��—.A ._ , County \e ����� Township
Taxing District (City, S�ewttship):_S�
Parcel Number
Ii buying on contract: Owners name �'� �'"'we °""ef�
or legal description shown on tax statement:
i/
.i_ _�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
County Township
` Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � �
Residential Improv e n� �
JUw 2. i979
Dwelling
Garage
Total
Other Improveme� �����
T�Improvements -�ne (6) p19�qG��'quals (8)
I;.,_ ;aby certi� the above is true. correct. and complete.
i
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True Cash Assessed Homestead
Value Valuation Valuation
(t) Soo / 70
(2)
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Date: lo - z 7- �i